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General NPI Number Information
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NPI Number | 1841217817
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ANESTHESIOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3181 SW SAM JACKSON PARK RD MAILCODE: SJH-2
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-4910
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Fax | 503-494-8368
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Provider Business Mailing Address
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Address Line | 3181 SW SAM JACKSON PARK RD UNIT 65
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-7246
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Fax | 503-494-8368
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Authorized Official
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Title or Position | VP/ENTERPRISE REVENUE CYCLE
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Name | KELLY ANNE SMITH
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Credential |
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Telephone | 503-494-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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